Wiki cyst/lipoma excision

[stogsmom3]

There has been a debate. The providers don't always document the size of incision made to remove a sebaceous cyst or Lipomas. Do we code the size off the size of cyst/lipoma documented. Or should the size be based off the size of incision that is made. All I really find is how to code lesions with incision and margins. But, I've always thought these are different.

Sebaceous cyst 3X2X1 cm or 2 cm incision

 

[m.edwards]

I have run into the same area of concern. If a lipoma or cyst is documented with a pre-op size of 3.5cm and a 5mm punch tool is used to make the incision and push the cyst or lipoma through, do we code based on the pre-op size documented or the 5mm punch tool used? And is this an I&D or an excision?